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https://www.readbyqxmd.com/read/28330639/more-bad-news-for-patients-with-diabetes-and-a-thin-silver-lining
#1
EDITORIAL
Sorin J Brener
No abstract text is available yet for this article.
March 10, 2017: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28330467/mental-health-care-and-delivery-system-at-temeke-hospital-in-dar-es-salaam-tanzania
#2
Joel Seme Ambikile, Masunga K Iseselo
BACKGROUND: Low and middle income countries face many challenges in meeting mental health needs in their regions. Treatment of patients with mental disorders is inadequate in most of these countries and majority of individuals with severe mental disorders remain untreated. The bad news is that mental health problems in these countries are on the rise due to socioeconomic challenges being faced. Regardless of guidelines and directives provided by WHO for organizing mental health services, these countries continue to face many challenges in the effort to cater for mental health needs...
March 23, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28287672/some-good-news-about-substance-use-disorders
#3
Julie Worley
Substance use disorders (SUDs) have reached epidemic proportions in the United States. The focus on the bad news related to SUDs can lead to a sense of hopelessness for nurses about identifying and managing these disorders. What is not as widely known is that there have been advances in several areas related to SUDs. This good news includes growing science about the neurobiology of these disorders and approaches to reduce stigma. In addition, there are known factors to improve success in recovery, such as improved quality of life, self-efficacy, and spirituality...
March 1, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/28286527/interactive-palliative-and-end-of-life-care-modules-for-pediatric-residents
#4
Mindy K Ross, Ami Doshi, London Carrasca, Patricia Pian, JoAnne Auger, Amira Baker, James A Proudfoot, Mark S Pian
Background. There is a need for increased palliative care training during pediatric residency. Objective. In this pilot study, we created a comprehensive experiential model to teach palliative care skills to pediatric residents. Our Comfort Care Modules (CCMs) address pediatric palliative care (PPC) topics of breaking bad news, dyspnea, anxiety, pain management, and the dying child. We also evaluated a scoring system and gathered qualitative data. Methods. The CCMs are part of the University of California San Diego pediatric residency's second-year curriculum...
2017: International Journal of Pediatrics
https://www.readbyqxmd.com/read/28285693/high-risk-community-and-primary-care-providers-knowledge-about-and-barriers-to-low-dose-computed-topography-lung-cancer-screening
#5
Vani N Simmons, Jhanelle E Gray, Matthew B Schabath, Lauren E Wilson, Gwendolyn P Quinn
INTRODUCTION: Until recently, there has not been a valid and reliable screening test for lung cancer. As compared to chest X-ray, low-dose computed tomography (LDCT) lung cancer screening has demonstrated greater sensitivity resulting in lung cancer diagnosis at an earlier stage, thereby reducing lung cancer mortality among high-risk individuals by 20%. In the current study, we sought to examine knowledge and attitudes about LDCT screening for lung cancer among an ethnically and racially diverse sample of high risk (HR) community members and primary care providers (PCP)...
April 2017: Lung Cancer: Journal of the International Association for the Study of Lung Cancer
https://www.readbyqxmd.com/read/28279326/editorial-overview-viral-immunology-dealing-with-bad-news
#6
EDITORIAL
Jonathan W Yewdell, Guus F Rimmelzwaan
No abstract text is available yet for this article.
February 2017: Current Opinion in Virology
https://www.readbyqxmd.com/read/28277140/interactive-case-based-learning-improves-resident-knowledge-and-confidence-in-reproductive-endocrinology-and-infertility
#7
Kara N Goldman, Ashley W Tiegs, Kristen Uquillas, Margaret Nachtigall, M Elizabeth Fino, Abigail F Winkel, Veronica Lerner
Resident physicians' scores on the REI section of the CREOG exam are traditionally low, and nearly 40% of house staff nation-wide perceive their REI knowledge to be poor. We aimed to assess whether an interactive case-based group-learning curriculum would narrow the REI knowledge gap by improving understanding and retention of core REI concepts under the time constraints affecting residents. A three-hour case-based workshop was developed to address four primary CREOG objectives. A multiple-choice test was administered immediately before and after the intervention and 7 weeks post-workshop, to evaluate both knowledge and confidence...
February 21, 2017: Gynecological Endocrinology
https://www.readbyqxmd.com/read/28235396/are-psychophysiological-arousal-and-self-reported-emotional-stress-during-an-oncological-consultation-related-to-memory-of-medical-information-an-experimental-study
#8
Leonie N C Visser, Marieke S Tollenaar, Jos A Bosch, Lorenz J P van Doornen, Hanneke C J M de Haes, Ellen M A Smets
Patients forget 20-80% of information provided during medical consultations. The emotional stress often experienced by patients during consultations could be one of the mechanisms that lead to limited recall. The current experimental study therefore investigated the associations between (analog) patients' psychophysiological arousal, self-reported emotional stress and their (long term) memory of information provided by the physician. One hundred and eighty one cancer-naïve individuals acted as so-called analog patients (APs), i...
January 2017: Stress: the International Journal on the Biology of Stress
https://www.readbyqxmd.com/read/28225878/the-p-a-c-i-e-n-t-e-protocol-an-instrument-for-breaking-bad-news-adapted-to-the-brazilian-medical-reality
#9
Carolina Rebello Pereira, Marco Antônio Marchetti Calônego, Lino Lemonica, Guilherme Antonio Moreira de Barros
OBJECTIVE: There are plenty of published tools for breaking bad medical news; however, none of them is culturally appropriate to our reality or published in the Brazilian literature. This study proposes a genuinely Brazilian communication tool and evaluates its acceptance among doctors and nurses. METHOD: This was a prospective study. The data were collected after specific training of doctors and nurses on the bad news communication techniques based on the P-A-C-I-E-N-T-E ("patient," in Portuguese) Protocol...
January 1, 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28223194/heart-failure-is-not-going-anywhere-good-news-bad-news
#10
EDITORIAL
Paul J Hauptman
No abstract text is available yet for this article.
February 18, 2017: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/28179074/learning-communication-from-erroneous-video-based-examples-a-double-blind-randomised-controlled-trial
#11
Felix Michael Schmitz, Kai Philipp Schnabel, Daniel Stricker, Martin Rudolf Fischer, Sissel Guttormsen
OBJECTIVE: Appropriate training strategies are required to equip undergraduate healthcare students to benefit from communication training with simulated patients. This study examines the learning effects of different formats of video-based worked examples on initial communication skills. METHODS: First-year nursing students (N=36) were randomly assigned to one of two experimental groups (correct v. erroneous examples) or to the control group (no examples). All the groups were provided an identical introduction to learning materials on breaking bad news; the experimental groups also received a set of video-based worked examples...
January 31, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28156617/development-of-a-decision-support-aid-to-support-goals-of-care-conversation-for-hospitalized-patients-with-cancer
#12
Lisa E Stone, Karen Stepan, Colleen M Gallagher, Jessica Anne Moore, Susan Gaeta, Margaret W Meyer, Robert Joseph Volk, Donna S Zhukovsky
42 Background: Goals of care (GOC) conversations between oncologists and patients are often ill-defined due to poor physician and patient preparation and unclear goals. Hospitalization may further increase patients' fear and confusion about GOC. Creating a tool to facilitate shared decision making is critical to support patients and their health care team in this process. In this study, we have collected data as the initial step in the development of a decision aid (DA) for GOC conversations with hospitalized patients with advanced cancer...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28151559/an-ethnography-of-managing-emotions-when-talking-about-life-threatening-illness
#13
N E Ayers, V Vydelingum, A Arber
AIM: This ethnographic study was concerned with how dying patients, palliative care staff and family caregivers communicate about life-threatening illness in a palliative care setting in Ethiopia. BACKGROUND: Ethiopia, as a developing country, had few resources for caring for those requiring end-of-life care. However, palliative care was supported by local champions in Ethiopia and by the Federal Ministry of Health. INTRODUCTION: The disclosure of bad news was discouraged because it was believed that such disclosure may lead to unnecessary distress and to loss of hope...
February 2, 2017: International Nursing Review
https://www.readbyqxmd.com/read/28095172/characterizing-the-nature-of-scan-results-discussions-insights-into-why-patients-misunderstand-their-prognosis
#14
Sarguni Singh, Dagoberto Cortez, Douglas Maynard, James F Cleary, Lori DuBenske, Toby C Campbell
INTRODUCTION: Patients with incurable cancer have poor prognostic awareness. We present a detailed analysis of the dialogue between oncologists and patients in conversations with prognostic implications. METHODS: A total of 128 audio-recorded encounters from a large multisite trial were obtained, and 64 involved scan results. We used conversation analysis, a qualitative method for studying human interaction, to analyze typical patterns and conversational devices...
March 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28092727/sitting-ducks-face-chronic-disease-an-analysis-of-newspaper-coverage-of-sedentary-behaviour-as-a-health-issue-in-australia-2000-2012
#15
Josephine Y Chau, Catriona Bonfiglioli, Amy Zhong, Zeljko Pedisic, Michelle Daley, Bronwyn McGill, Adrian Bauman
Issue addressed: This study examines how sedentary behaviour (too much sitting) was covered as a health issue by Australian newspapers and how physical activity was framed within this newspaper coverage.Methods: Articles featuring sedentary behaviour published in Australian newspapers between 2000 and 2012 were analysed for content and framing. Main outcome measures were volume, number and content of newspaper articles; framing and types of sedentary behaviour; responsibility for the problem of and solutions to high levels of sedentary behaviour; and physical activity mentions and how it was framed within sedentary behaviour coverage...
January 12, 2017: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/28076529/relationships-between-oncohematopediatrics-mothers-and-children-in-communicating-bad-news
#16
Selene Beviláqua Chaves Afonso, Maria Cecília de Souza Minayo
We present a study about the relations between pediatric oncological haematologists, mothers, and children in sharing bad news (BN) in a public hospital in Rio de Janeiro. The text emphasizes the intertwining of technique and emotions for the treatment of children with diagnoses in which the fatal outcome is always a probability. We used a qualitative approach, privileging participant observation and open interviews with oncologists (at this service all professionals were female) and mothers. We sought to understand the importance of communication which includes expressions and control of emotions; bioethical issues that require sensitivity, serenity, and truth about approaching the end of life; and how the professionals balance proximity to children and families and objectivity in their activity...
January 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28074313/characterizing-clinical-genetic-counselors-countertransference-experiences-an-exploratory-study
#17
Rebecca Reeder, Patricia McCarthy Veach, Ian M MacFarlane, Bonnie S LeRoy
Countertransference (CT) refers to conscious and unconscious emotions, fantasies, behaviors, perceptions, and psychological defenses genetic counselors experience in response to any aspect of genetic counseling situations (Weil 2010). Some authors theorize about the importance of recognizing and managing CT, but no studies solely aim to explore genetic counselors' experiences of the phenomenon. This study examined the extent to which clinical genetic counselors' perceive themselves as inclined to experience CT, gathered examples of CT encountered in clinical situations, and assessed their CT management strategies...
January 10, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28072478/the-difficulties-experienced-by-nurses-and-healthcare-staff-involved-in-the-process-of-breaking-bad-news
#18
Clare Warnock, Jean Buchanan, Angela Mary Tod
AIMS: The aim of this study was to explore the difficulties experienced by nurses and healthcare professionals when engaging in the process of breaking bad news. BACKGROUND: The challenges faced by staff when breaking bad news have previously been researched in relation to particular settings or participants. This study involved staff from diverse settings and roles to develop broader insights into the range of difficulties experienced in clinical practice. DESIGN: The study used a descriptive survey design involving self-reported written accounts and framework analysis...
January 10, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28062345/tumor-talk-and-child-well-being-perceptions-of-good-and-bad-news-among-parents-of-children-with-advanced-cancer
#19
Angela M Feraco, Veronica Dussel, Liliana Orellana, Tammy I Kang, J Russell Geyer, Abby R Rosenberg, Chris Feudtner, Joanne Wolfe
CONTEXT: Little is known about how parents of children with advanced cancer classify news they receive about their child's medical condition. OBJECTIVE: To develop concepts of "good news" and "bad news" in discussions of advanced childhood cancer from parent perspectives. METHODS: Parents of children with advanced cancer cared for at three children's hospitals were asked to share details of conversations in the preceding three months that contained "good news" or "bad news" related to their child's medical condition...
January 3, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28060981/-communication-of-medical-errors-to-patients-questions-and-tools
#20
María Luz Bascuñán, Ana María Arriagada
For several years and in many different ways, medical errors have been studied. As expected, the majority of efforts have been directed to prevent clinical errors during the different phases of health care. Nevertheless, less attention has been given to what happens when a negative effect has already occurred. The present work describes the doubts and difficulties that doctors deal with when facing an error and to describe the communicational tools that the literature offers to cope with them. The definition of medical error was the starting point that was used to later analyze the evidence about what, why and how to inform medical errors from an ethical and technical point of view...
September 2016: Revista Médica de Chile
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